SAMSUNG AMERICAN LEGION
SCHOLARSHIP APPLICATION
DIRECTIONS
2013
ELIGIBILITY: High school juniors who are a direct descendant,
i.e. child, grandchild, great-grandchild or a legally adopted child,
of a U.S. veteran who served during a period of war and is a
delegate to either an American Legion Boys State or American
Legion Auxiliary Girls State program.
Completing a scholarship application can be a difficult task. Below are
some tips to help you complete your application.
1. Application must be typed or completed online at www.legion.org.
Scroll over the “Programs” headline at the top of the page, and in
the drop-down box, click on “Scholarships”. The Samsung
American Legion Scholarship will be the 3
rd
scholarship from the
top.
2. Do not attach any documents or additional pages to the application,
except as required.
3. Review the entire application before completing it. If a field is left
blank, it will count against you. If you cannot answer a question,
put a reason in the field.
4. Proofread your answers/essays in this application in addition to
having at least one other person proofread your application.
Spelling errors or poor writing skills will have a negative effect on
your chances of receiving the scholarship.
Incomplete/unprofessional applications will be rejected.
5. Use a computer to prepare your final document. Applications will not be
considered if they are handwritten.
6. Each application is judged on its own merit so include any
information that makes you exceptional and a good candidate to
receive the award.
7. Keep a copy of everything you submit!
8. Pay close attention to scholarship application deadlines as
applications submitted past the deadline will not be considered.
Contact your American Legion Boys State or American Legion
Auxiliary Girls State Program to determine its application deadline
and procedure for submitting the application. Normally, the
application is submitted when you arrive at your respective
program.
DOCUMENTATION SHOWING VETERAN SERVED ON
ACTIVE DUTY DURING ELIGIBILITY PERIOD(S)
During its fall 2008 meeting the Samsung American Legion Scholarship Selection
Committee restated its position that applicants should provide some form of
documentation that the veteran served during a war-time period. Some families are
experiencing difficulty finding federal documentation for World War II vets. The
committee discussed this problem and recommended rewording the application.
Previously the application stated
, “Attach to this application a PHOTOCOPY of the
veteran’s Certification of Release or Discharge From Active Duty (Form DD-
214) or other government document showing time served on active military
duty during eligibility period(s) indicated on front of this application.”
The new wording is “Attach to this application documentation showing veteran
served on active duty during eligibility period(s) indicated on front of this
application.”
Documentation may include, but is not limited to copies of, Department of Defense
documents, Department of the Army documents, Department of the Navy documents,
Department of the Air Force documents, Department of Veterans Affairs documents (federal or
state), American Legion documents, Obituaries, and entries in a family
Bible
or
Holy
Scriptures
.
Father’s name and occupation:
SAMSUNG AMERICAN LEGION
SCHOLARSHIP APPLICATION
2013
ELIGIBILITY: High school juniors who are a direct descendant, i.e. child, grandchild, great-grandchild or a legally
adopted child, of a U.S. veteran who served during a period of war and is a delegate to either an American Legion Boys State
or American Legion Auxiliary Girls State program. Application must be typed or use a word processor. Do not attach
any documents or additional pages to this application, except as required. All questions must be answered in order to be
considered.
Name_________________________________________________________________________
Address _______________________________________________________________________
City __________________________________ State ________________ Zip _______________
E-mail ____________________________________
Telephone ( ) _______________________ Date of Birth Month ______ Day _______ Year _______
I am the (state relationship)___________________ of (veteran's name) ___________________________
Veteran's address (if living)____________________________________________________________
who served on active duty during one or more of the following periods of war. Check the appropriate war period:
____ World War I - Apr. 6, 1917 - Nov. 11, 1918
____ Lebanon/Grenada - Aug. 24, 1982 - Jul. 31, 1984
____ World War II - Dec. 7, 1941 - Dec. 31, 1946
____ Panama - Dec. 20, 1989 - Jan. 31, 1990
____ Korean War - June 25, 1950 - Jan. 31, 1955
____ Persian Gulf War - Aug. 2, 1990 - Until cessation of hostilities
____ Vietnam War - Feb. 28, 1961 - May 7, 1975
Includes Operations Enduring Freedom, Iraqi Freedom, and War on Terrorism
Expected Family Contribution $__________________ (To find EFC go on-line at: www.finaid.org “click” on Calculators and use
“Federal Methodology”.)
High School Record – This section is to be completed by a high school official. (May be handwritten.)
Number of students in high school ____________ Number of students in applicant's class ______________
Cumulative Grade Point Average (GPA) ______________ GPA scale is ______ (i.e. 4 point, 6 point, 12 point, etc.)
Class Rank ___________ Expected Date of Graduation _______________
SAT Scores Math _______ Verbal _______ Written _______ Total _______ and/or ACT Score ___________
______________________________________ Date ___________ ___________________________________
Signature Type/print name and title
Affix school stamp or seal
For Official Use Only
GPA ________ Class Rank ________ SAT/ACT Score ________ Activities ________ Honors & Awards ________
Descendant of Korean War Veteran ________ Community Service/Volunteerism ______ Total _______
1/7
Mother’s name and occupation:
List brothers and/or sisters and their ages.
NAME AGE
Please indicate your job or work experiences. List dates “from – to.” List number of
hours per week/month and total hours. List any responsibilities/accomplishments.
Describe your most significant challenge or accomplishment and explain its value to your
life.
Explain your long-range goals for school and career. Describe what specific skills and
personal values you want to foster in yourself to achieve these ends.
2/7
Describe any circumstances that may affect your family’s ability to provide for your college
education.
3/7
Describe any community service /volunteer work in which you have been involved during
your high school career (grades nine through eleven). If your community service/volunteer
work was required, explain why.
Activities - List the school clubs, teams, and organizations you belonged to or participated in
during grades nine (9) through eleven (11). List the dates you participated (mm/yy), number of
hours per week or month, total hours and accomplishments or honors earned.
4/7
List the non-school clubs, teams, and organizations you belonged to or participated in during
grades nine (9) through eleven (11). List the dates you participated (mm/yy), number of hours
per week or month, total hours and accomplishments or honors earned.
State/National Awards and Honors. List up to five state or national awards/honors you have
received. (For example, All-State Choir, National Merit Semifinalist.)
5/7
1.
2.
3.
4.
5.
School/Local Awards and Honors. List up to five school or local awards/honors you have
received. (For example, DAR Good Citizen Award, 4-H, Scholastic Athlete Award.) The fact
that you are submitting this application presumes that you have participated in a Boys State or
Girls State Program. Do not include that program as a School/Local Award or Honor.
1.
2.
3.
4.
5.
What do you like to do for fun and/or enjoyment?
6/7
CERTIFICATION
If I am selected as a scholarship winner and in consideration thereof, I understand, agree and hereby grant
permission to The American Legion and Samsung Group to use my likeness and name in announcing and
promoting this scholarship program. I understand and agree that the National Selection Committee is
solely responsible for the selection of the scholarship winners and its decision is final. I have completed
the scholarship application and have attached the veteran’s verification document. I grant permission to
the school of higher education I attend to release information concerning my enrollment status, academic
standing and financial need to The American Legion for use in administering my scholarship award. In
submitting this application, I certify that the information is complete and accurate to the best of my
knowledge. I understand and agree that falsification of information will result in termination of the
Samsung American Legion Scholarship.
_________________________________________ Date
_________________
Student Signature
If my child is selected as a scholarship winner and in consideration thereof, I understand, agree and
hereby grant permission to The American Legion and Samsung Group to use my child's likeness and
name in announcing and promoting this scholarship program. I understand and agree that the National
Selection Committee is solely responsible for the selection of the scholarship winners and its decision is
final. My child has completed the scholarship application and has attached the veteran’s verification
document. I grant permission to the school of higher education my child attends to release information
concerning my child's enrollment status, academic standing and financial need to The American Legion
for use in administering my child's scholarship award. In submitting this application, I certify that the
information is complete and accurate to the best of my knowledge. I understand and agree that
falsification of information will result in termination of the Samsung American Legion Scholarship.
___________________________ Date ________
Parent's Signature
Note: 1. If a legal guardian signs this certification, all personal pronouns shall be deemed to be read as if singular and not plural and 2. A copy of
the appointment of the legal guardian signing must be attached.
Attach to this application documentation showing veteran served on active duty
during eligibility period(s) indicated on front of this application. SUBMIT COMPLETED
APPLICATION TO YOUR BOYS/GIRLS STATE PROGRAM OFFICIALS AS DIRECTED.
The Rules and Conditions under which the scholarships are awarded and the program administered shall be:
1. Those eligible to apply for the scholarships shall be students who are direct descendants of U.S. wartime veterans who served during
one or more of the periods of war officially designated as such by the United States government: World War I - April 6, 1917 - November 11,
1918; World War II - December 7, 1941 - December 31, 1946; Korean War - June 25, 1950 - January 31, 1955; Vietnam War - February 28,
1961 - May 7, 1975; Lebanon and Grenada - August 24, 1982 - July 31, 1984; Panama - December 20, 1989 - January 31, 1990 and Persian Gulf
War - August 2, 1990 to cessation of hostilities as determined by the United States government.
2. The annual Samsung American Legion Scholarship applicant pool will include one representative from each American Legion Boys
State program; one representative from each American Legion Auxiliary Girls State program; and one high school junior boy and one high school
junior girl from the Department of Hawaii. From this pool of “state finalists” scholarship recipients will be selected by the National Committee
on Education. These scholarship recipients will be known as “Samsung American Legion Scholars.”
3. Samsung American Legion Scholars will have six (6) years to utilize their scholarship funds from the date of graduation from high
school, excluding any time spent on active military duty or church mission. Remaining State Finalists will have two (2) years to utilize their
scholarship funds from the date of graduation from high school, excluding any time spent on active military duty or church mission.
4. The Samsung American Legion Scholarship is for undergraduate study at an accredited U.S. college or university. The recipients
must be enrolled as a full-time student to request his/her scholarship funds. The number and amount of the scholarship awards will be
determined by the income derived from the Samsung American Legion Scholarship Trust.
5. The scholarship funds may only be used to defray necessary costs of the student’s education (i.e. tuition, room & board, books &
supplies, fees and equipment required by the student’s particular course of study or school). A student may request any amount up to and
including his/her total scholarship award at one time. The amount of the fund request cannot exceed the cost of education. Students may make
only one (1) request for funds per semester or quarter.
6. Scholarship checks will be issued upon receipt of a “Request for Funds” form. It is the normal and customary procedure that the
scholarship check will be a two-party check made payable to the student and school. Students who have not requested their award will receive
one (1) written notice reminding them of their award and the time limits remaining to receive their award. State finalists will receive their notice
prior to their last year of eligibility. Samsung American Legion Scholars will receive their notice with two years of eligibility remaining.
7. Unused scholarship funds will be returned to the scholarship trust fund for future awards.
Revised December 2012
Stock No. 23-013
7/7
